scholarly journals Choice of surgical treatment for chronic composite hemorrhoid

2020 ◽  
Vol 39 (3) ◽  
pp. 27-31
Author(s):  
Oleg A. Litvinov ◽  
Evgeniy V. Zhitikhin ◽  
Igor G. Ignatovich ◽  
Hovannes A. Arutyunyan ◽  
Artur G. Arustamov ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Rating Scale ◽  
Stage Iv ◽  
Pain Syndrome ◽  
Numeric Rating Scale ◽  
Early Postoperative Period ◽  
Control Group ◽  
Scientific Center ◽  
Cavernous Tissue ◽  
Numeric Rating

A comparative analysis of the treatment of 142 patients operated on chronic hemorrhoid stage IIIIV has been passed by way of assess the results of using new version of hemorrhoidectomy. The age of patients ranged from 27 to 80 (mean age was 50.46.7). 86 (60.6%) patients were diagnosed with stage III chronic hemorrhoid, at 56 (39.4%) patients the stage IV. For this study patients were divided into basic and controlled groups. The basic group consisted of 73 (51.4%) patients that have had hemorrhoidectomy using our modification. There were 69 (48.6%) patients in control group that have been operated by MilliganMorgan method in second modify of State Scientific Center of Proctology using bipolar coagulator LigaSure. The level of pain was assessed in the early postoperative period by numeric rating scale. The patients had been operated by our method mentioned that the pain syndrome was less pronounced (3.2 against 4.9 balls), that required less painkillers in the early postoperative period. In the case of doing semicircle cuts on the border of anocutaneous crinkle and bringing down mucous membrane, the significant excision of the cavernous tissue doesnt lead to contraction of the anal canal by that reduces the number of functional disorders after hemorrhoidectomy (4 figs, 1 table, bibliography: 7 refs).

scholarly journals Effects of Intraoperative Nefopam on Catheter-Related Bladder Discomfort in Patients Undergoing Robotic Nephrectomy: A Randomized Double-Blind Study

2019 ◽  
Vol 8 (4) ◽  
pp. 519
Author(s):  
Chi-Bum In ◽  
Young-Tae Jeon ◽  
Ah-Young Oh ◽  
Se-Jong Jin ◽  
Byeong-Seon Park ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Double Blind Study ◽  
Analgesic Agent ◽  
Double Blind ◽  
Robotic Nephrectomy ◽  
Male Patients ◽  
Numeric Rating

Catheter-related bladder discomfort (CRBD) is one of the most difficult symptoms during the postoperative period. Nefopam is a non-narcotic analgesic agent, which also has anticholinergic action. This study was performed to evaluate the effects of nefopam on CRBD in male patients undergoing robotic nephrectomy. A total of 109 male patients were randomly divided into two groups: the control group (n = 55) received 20 mL of normal saline, and the nefopam group (n = 54) received 20 mg of nefopam 1 h before the end of the operation. At postoperative times of 20 min, 1 h, 2 h, and 6 h, the severity of CRBD was measured using an 11-point numeric rating scale, respectively. The severity of CRBD in the nefopam group was significantly lower than that in the control group at 20 min (4.8 ± 1.3 vs. 2.3 ± 1.0, respectively, p = 0.012) and at 1, 2, and 6 h (3.5 ± 1.2, 2.7 ± 0.9, and 2.5 ± 1.0 vs. 4.1 ± 0.8, 1.6 ± 0.8, and 1.3 ± 0.6, respectively, p < 0001). Intraoperative nefopam administration reduced the severity of CRBD in patients undergoing robotic nephrectomy.

scholarly journals Spiritual relaxation to reduce dysmenorrhea: a quasy experimental

MEDISAINS ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 57
Author(s):  
Qurota A'yun ◽  
Mukhoirotin Mukhoirotin
Keyword(s):  
Rating Scale ◽  
Early Mobilization ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Relaxation Techniques ◽  
Menstrual Pain ◽  
Control Group Design ◽  
And Control ◽  
Numeric Rating

Background: The dysmenorrhea prevalence is still reported high in the world. Several previous studies discovered that deep breathing relaxation effectively reduced dysmenorrhea. Other studies presented the combination of early mobilization and spiritual relaxation could reduce the level of client pain postoperative appendectomy, however the effectiveness of spiritual relaxation techniques to reduce dysmenorrhea is not yet tested.Objective: to determine the effect of spiritual relaxation to reduce dysmenorrhea.Method: The research design used was Quasi Experiment with the pretest-posttest Control Group Design approach. The populations were female students who experienced menstrual pain (dysmenorrhea) and met the inclusion and exclusion criteria. The variable in this study was dysmenorrhea. The sampling technique was simple ramdom sampling consisted of 44 respondents. The calculation instrument was NRS (Numeric Rating Scale) and data were analyzed through statistical test of Paired T-Test and Independent T-Test.Results: After spiritual relaxation treatment, the intensity of menstrual pain reduced significantly from 6.05 - 1.77, it proved that there was an effect of spiritual relaxation on dysmenorrhea with a significant value (ρ) of 0.000 (p ≤ 0.05). There were significant differences in the intensity of menstrual pain in the intervention and control groups (1.77 ± 1,109 vs 5.63 ± 0.445; p> 0.05).Conclusion: Spiritual relaxation effectively reduces dysmenorrhea

Pre-emptive ice cube cryotherapy for reducing pain from local anaesthetic injections for simple lacerations: a randomised controlled trial

2017 ◽  
Vol 35 (2) ◽  
pp. 103-107 ◽  
Author(s):  
JaeWoo Song ◽  
HyukHoon Kim ◽  
EunJung Park ◽  
Jung Hwan Ahn ◽  
Eunhui Yoon ◽  
...  
Keyword(s):  
Injection Site ◽  
Local Anaesthetic ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Ice Cube ◽  
Perceived Pain ◽  
Randomised Controlled ◽  
Numeric Rating

ObjectiveSubcutaneous local anaesthetic injection can be painful to patients in the ED. We evaluated the effect of cryotherapy by application of an ice cube to the injection site prior to injection in patients with simple lacerations.MethodsWe conducted a prospective, randomised, controlled trial in consented patients with simple lacerations needing primary repair at a single emergency centre from April to July 2016. We randomly assigned patients undergoing repair for simple lacerations to either the cryotherapy group or the control group (standard care; no cryotherapy or other pretreatment of the injection site). In cryotherapy group subjects, we applied an ice cube (size: 1.5×1.5×1.5 cm) placed inside a sterile glove on the wound at the anticipated subcutaneous lidocaine injection site for 2 min prior to injection. The primary outcome was a subjective numeric rating (0–10 scale) of the perceived pain from the subcutaneous local anaesthetic injections. Secondary outcomes were (a) perceived pain on a numeric scale for cryotherapy itself, that is, pain from contact of the ice cube/glove with the skin and (b) the rate of complications after primary laceration repair.ResultsFifty patients were enrolled, consented and randomised, with 25 in the cryotherapy group and 25 in the control group. The numeric rating scale for subcutaneous anaesthetic injections was median, IQR, 95% CI 2.0 (1 to 3.5), 1.81 to 3.47, respectively, in the cryotherapy group and 5.0 (3 to 7), 3.91 to 6.05 in the control group (Mann-Whitney U=147.50, p=0.001). No wound complications occurred in either group. The numeric rating scale for cryotherapy itself was median, IQR, 95% CI: 2.0 (1 to 3.5), 1.90 to 3.70.ConclusionPre-emptive topical injection site cryotherapy lasting 2 min before subcutaneous local anaesthetic injections can significantly reduce perceived pain from subcutaneous local anaesthetic injections in patients presenting for simple laceration repair.Trial registration numberKCT0001990.

scholarly journals Pengaruh Teknik Relaksasi Guided Imagery Music terhadap Intensitas Nyeri pada Klien Post Operasi Apendicitis di Ruang Rawat Inap Bedah Rspad Gatot Soebroto Ditkesad Jakarta Tahun 2015

2019 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Astrid Astrid ◽  
Memed Sena Setiawan
Keyword(s):  
Guided Imagery ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
T Test ◽  
Control Group ◽  
Random Assignment ◽  
Purposive Sampling ◽  
Post Test ◽  
Numeric Rating

Apendicitis adalah peradangan dari apendiks vermiformis yang menyebabkan usus berhenti mengeluarkan sisa makanan yang tidak diserap oleh tubuh sehingga dilakukan Apendictomy dimana terjadi nyeri akut pada level severe. Tujuan penelitian ini untuk mengetahui pengaruh teknik relaksasi Guided Imagery Music terhadap intensitas nyeri post operasi apendicitis di ruang rawat inap bedah RSPAD Gatot Soebroto Ditkesad Jakarta. Desain penelitian menggunakan purposive sampling dengan rancangan random assignment pre test-post test with control group. Jumlah sampel adalah 36 orang (18 orang kelompok kontrol dan 18 orang kelompok intervensi). Nyeri diukur dengan menggunakan Numeric Rating Scale (NRS) dan Faces Pain Scale Resived (FPSR). Uji statistik menggunakan uji T test independen. Hasil uji menunjukkan ada pengaruh teknik relaksasi Guided Imagery Music terhadap intensitas nyeri pada klien post operasi Apendicitis. Perbedaan rata-rata intensitas nyeri pada kelompok kontrol sebesar 1,55 dan pada kelompok intervensi sebesar 3,17. Variabel confounding telah dilakukan uji normalitas didapatkan hasil tidak ada hubungan usia, jenis kelamin, koping, individu pendukung, lingkungan, pengalaman nyeri sebelumnya terhadap intensitas nyeri, ini dikarenakan klien tidak mampu mengalihkan perhatian dari rasa nyeri yang hebat post operasi apendicitis, sehingga hasil statistik nya tidak perlu dilakukan transformasi. Teknik relaksasi Guided Imagery Music dapat digunakan sebagai intervensi mandiri keperawatan untuk mengurangi intensitas nyeri klien post operasi apendicitis. Kata Kunci: Guided Imagery Music, Klien Post Operasi Apendicitis, Intensitas Nyeri

scholarly journals AKUPRESSURE PADA TITIK HEGU UNTUK MENGATASI NYERI MENSTRUASI

2019 ◽  
Vol 10 (2) ◽  
pp. 50
Author(s):  
Gita Kostania ◽  
Kuswati Kuswati ◽  
Ati Fitriyani
Keyword(s):  
Rating Scale ◽  
Numeric Rating Scale ◽  
T Test ◽  
Control Group ◽  
Purposive Sampling ◽  
Equivalent Control ◽  
Numeric Rating

Latar Belakang : Menstruasi merupakan tanda pubertas seorang wanita dan menjadi rutinitas wanita yang masih dalam masa subur. Siklus ini menimbulkan ketidaknyamanan, salah satunya nyeri menstruasi. Nyeri ini dapat berupa kram ringan hingga dapat mengganggu kegiatan sehari-hari. Nyeri menstruasi dapat dikurangi secara farmakologis dan non farmakologis. Secara non farmakologis salah satunya adalah dengan akupresure pada titik Hegu. Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh akupresure titik hegu terhadap nyeri menstruasi. Metode : Penelitian ini merupakan penelitian observasional. Jenis penelitian quasy eksperiment dengan rancangan non equivalent control group. Populasi aktualnya yaitu santriwati kelas XI Madrasah Bertaraf Internasional Amanatul Ummah Mojokerto yang mengalami nyeri menstruasi sebanyak 126 orang. Teknik pengambilan sample adalah purposive sampling dengan perhitungan rumus Slovin, didapatkan sebanyak 56 responden. Instrumen penelitian menggunakan lembar observasi dengan pengukuran Numeric Rating Scale. Analisis data menggunakan independent t-test. Hasil : Hasil penelitian menunjukkan bahwa terdapat perbedaan penurunan nyeri menstruasi antara kelompok eksperimen dan kelompok kontrol dengan p=0,001 (p

scholarly journals The Effect of Murattal To Relieve Dysmenorrhea Pain in Female Students

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Qanita Chairun Nissa ◽  
Neni Nuraeni ◽  
Hani Handayani
Keyword(s):  
Group Treatment ◽  
Female Student ◽  
Rating Scale ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Control Group Design ◽  
Purposive Sampling ◽  
And Control ◽  
Numeric Rating

Dysmenorrhea is menstruation pain that would interfere women’s activities. Murattal is a non-pharmacological technique that may relieve menstruation pain. The aim of this research was to find the effect of Murattal in relieving dysmenorrhea for female student of SMPN 12 Tasikmalaya. This research used quasi-experiment with pre-posttest and control group design. Respondents were selected using purposive sampling technique. This study involved 15 students in a group treatment and 15 students in a group control used technique purposive sampling. The instrument of this study was Numeric Rating Scale (NRS) Instrument. Respondents listened Murattal Surah Ar-Rahman. Data were analyzed using paired T-Test also used. The result found that there was an effect of Murattal to relieve dysmenorrhea pain for female student of SMPN 12 Tasikmalaya, with ρ value 0,000. The conclusion, Murattal is effective to relieve dysmenorrhea. There is a need of developing other non-pharmacology interventions to relive dysmenorrhea Keywords: Dysmenorrhea, Murottal, Pain

scholarly journals Pengaruh Teknik Relaksasi Nafas dalam Terhadap Penurunan Intensitas Nyeri Post Sectio Caesarea di RSUD Cianjur

2018 ◽  
Vol 12 (2) ◽  
pp. 184-191
Author(s):  
Maya Indriati ◽  
Dyah Triwidiyantari ◽  
Krisnasari Nur Apriyanti
Keyword(s):  
Rating Scale ◽  
Numeric Rating Scale ◽  
Sectio Caesarea ◽  
Control Group ◽  
Purposive Sampling ◽  
Numeric Rating

Nyeri merupakan gejala yang tidak menyenangkan yang dialam oleh pasien post operasi section caesarea. Salah satu terapi yang dapat diberikan untuk mengurangi nyeri adalah teknik relaksasi nafas dalam. Tujuan penelitian adalah untuk mengetahui pengaruh teknik relaksasi nafas dalam terhadap penurunan intensits nyeri post sectio caesarea di RSUD Cianjur. Penelitan ini adalah penelitian kuantitatif dengan Quasy-Exsperimental with pretest and posttest without control group. Teknik pengambilan data dengan purposive sampling. Sampel penelitian berjumlah 45 ibu post sectio caesarea pengumpulan data menggunakan Numeric Rating Scale (NRS). Analisis data dilakukan dengan uji wilcoxson. Hasil penelitian menunjukan perbedaan rata-rata rasa nyeri sebelum dilakukan teknik relaksasi nafas dalam yaitu 3,31 dan rata-rata rasa nyeri sesudah dilakukan teknik relaksasi nafas dalam yaitu 2,22. Hasil analisis didapatkan bahwa terdapat pengaruh teknik relaksasi nafas dalam terhadap penurunan intensitas nyeri post section caesarea di RSUD Cianjur (p=0.000).

scholarly journals The Effect of Zikr Meditation on Post Operative Pain Among Women Post Cesarean Section

2020 ◽  
Vol 9 (2) ◽  
pp. 580-587
Author(s):  
Shinta Novelia ◽  
Milla Evelianti Saputri ◽  
Ficky Adi Putri Sinkawati
Keyword(s):  
Cesarean Section ◽  
Medical Information ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Early Postoperative Period ◽  
Control Group ◽  
Post Operative Pain ◽  
Significant Difference ◽  
Before And After ◽  
Post Test

Pain is the most common adverse effects in the early postoperative period. Routine pharmacologic Methods may impair the recovery of patients for their sedative and emetic effects. Therefore, patients’ relaxation is necessary for a successful post-operative pain managements and it is among the interventions addressed to improve physiologic response. The aim of this study was to examine the effects of zikr meditation on post-operative pain among post cesarean section women. This is a quasy experimental research with control group pre-test post-test. A total of 30 muslim post cesarean section women were included in the study.  Medical information form, Numeric Rating Scale, and Interument Guideline are used to collect the data. The results show that there is a significant difference of pain between experiment and control group (p= .012), there is a significant difference of pain before and after intervention in the experiment group (p=  .00).

scholarly journals Utilization of Back Movement Technique to Intensity of Low Back Pain in Third Trimester Pregnant Women

2020 ◽  
Vol 9 (2) ◽  
pp. 535-542
Author(s):  
Putri Maretyara Saptyani ◽  
Ari Suwondo ◽  
Runjati Runjati
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Low Back ◽  
Third Trimester ◽  
Control Group Design ◽  
Numeric Rating

One of the discomforts in third-trimester pregnancy is lower back pain.The prevalence of back pain during pregnancy can reach 80%. The study aims to prove the use of back movement technique to decrease the intensity of low back pain in third trimester pregnant women. The study used quasy-experimental, pretest-posttest with control group design. The sample of the study was third-trimester pregnant women with low back pain totaling 40 respondents. The instrument used to measure back pain in pregnancy is the Numeric Rating Scale (NRS). Data analysis used wilcoxon and man-whitney. There was a decrease in intensity of low back pain before treatment by 4.75 cm and after being given a back movement technique of 1.55 cm (p = 0.001). Back movement technique is proven to be more effective in reducing the intensity of low back pain in third-trimester pregnant women.

scholarly journals Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia

2020 ◽  
Vol 73 (6) ◽  
pp. 518-524
Author(s):  
Jung Ha Lee ◽  
Dae Hun Yoon ◽  
Bong Ha Heo
Keyword(s):  
Back Pain ◽  
Spinal Anesthesia ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Early Postoperative Period ◽  
Anesthetic Techniques ◽  
Pain Scores ◽  
Operation Duration ◽  
To Receive ◽  
Numeric Rating

BackgroundThe effects of anesthetic techniques on postdural puncture backache (PDPB) have not been specifically evaluated. The purpose of this study was to compare the incidence and severity of PDPB between median and paramedian techniques.MethodsPatients were randomized to receive spinal anesthesia by either a median (Group M, n = 50) or paramedian (Group P, n = 50) approach.We recorded each patient’s personal number of puncture attempts, surgical position, and operation duration. We investigated the incidence and intensity of back pain 1 day, 1 week, and 1, 2, and 3 months postoperatively.ResultsThe overall incidence of PDPB was higher in the Group M (18/50, 36%) than in the Group P (8/50, 16%) (P =0.023). Twenty-four hours after surgery, 8 patients in Group M and 6 patients in Group P complained of back pain, and the average numeric rating scale (NRS) pain scores showed no evidence of differences. Seven days after the surgery, 16 patients in the Group M and 5 patients in the Group P complained of pain (P = 0.007); their NRS scores did not significantly differ. After 1 month, 5 patients in the Group M and 1 patient in the Group P complained of pain. Only one patient in each group complained of pain after 3 months.ConclusionsThe results of this study suggest that spinal anesthesia using the paramedian approach reduces the incidence of PDPB during the early postoperative period.

Sign in / Sign up

Export Citation Format

Share Document